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Inspection on 27/11/07 for Southwold Nursing Home

Also see our care home review for Southwold Nursing Home for more information

This inspection was carried out on 27th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Systems are well established to support people with their health and personal care needs. This includes contact with health professionals at Wythenshawe Hospital and other health professionals referred by people`s general practitioner. People continue to be supported on accessing programmes of social care which reflect their personal interests and preferences and are supported by staff to maintain their preferred lifestyle. The premises and grounds provide people with well maintained and secure facilities. During discussion with people living there, they said they enjoyed the meals provided and spoke positively about the care provided to them by staff. Procedures were in place to protect people and to ensure their financial interests were well managed on their behalf. There were also procedures to seek the views of people using the service and their relatives.

What has improved since the last inspection?

The home had taken appropriate action to address requirements made at the last inspection in relation to replacement of more appropriate locks on bedroom doors and medication procedures. A new care plan system was being introduced which was more person centred.

What the care home could do better:

The advice of the fire service is needed to ensure that the storage arrangements for 2 people`s wardrobes does not compromise fire safety. Storage arrangements for personal files of residents also need to be reviewed to maintain confidentiality. It is recommended that contracts are updated with current levels of charges. Accurate records need to be kept of people`s assessed needs in relation to pressure area care.

CARE HOMES FOR OLDER PEOPLE Southwold Nursing Home Southmoor Road Wythenshawe Manchester M23 9NR Lead Inspector Joe Kenny Unannounced Inspection 27 November 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southwold Nursing Home Address Southmoor Road Wythenshawe Manchester M23 9NR Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 945 6367 0161 945 9002 www.anchor.org.uk Anchor Trust Maxine J Hanson Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users aged over the age of 60 requiring nursing care shall be 41. 15th June 2006 Date of last inspection Brief Description of the Service: Southwold Nursing Home is a home with 41 beds providing personal care with nursing. The Home was purpose built for the specific resident group in the early 1990’s, initially to provide a better care setting for people on long stay wards within the NHS. It is built on two floors and has a passenger lift. The home is totally wheelchair accessible. The home is divided into 4 care areas which each have 8 single and one double room, all of which are en suite. Each care area has it own lounge. There is also a central lounge and dining room on the ground floor and a smaller dining room on the first floor. There are two gardens. The home is on the edge of the Wythenshawe Hospital site. The home has its own car park at the front of the building. It is close to a major motorway network and public transport provides very frequent services to Manchester, Stockport and Altrincham. These services are situated very close to the entrance to the home. Fees are currently set at £399:10 for single rooms or £530:00 for single rooms with en-suite. The fees for double rooms are £383:65, or £530:00 if they are en-suite. In addition there is a £65:00 top up fee paid by the resident or relatives. Residents who self fund are charged £642:60. Hairdressing and private chiropody are extra. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report looks at information provided by the home to the Commission since its last inspection on the 15 June 2006. This includes notifications from the home regarding reportable incidents, and a completed Annual Quality assurance Assessment (AQAA), which was used to inform this unannounced inspection that took place 27 November 2007. This inspection started at 09:30 hours and lasted 7.5 hours. During the inspection discussions were held with people living there, relatives and staff. A tour of the building was also carried out. A number of questionnaires were left at the home, to seek the views of people living in the home and their relatives. Questionnaires were also left so that staff could give their views of working in the home. 4 questionnaires were returned from relatives and 3 from staff. The home had addressed requirements made at the last inspection. The manager and deputy were available during the inspection. What the service does well: Systems are well established to support people with their health and personal care needs. This includes contact with health professionals at Wythenshawe Hospital and other health professionals referred by people’s general practitioner. People continue to be supported on accessing programmes of social care which reflect their personal interests and preferences and are supported by staff to maintain their preferred lifestyle. The premises and grounds provide people with well maintained and secure facilities. During discussion with people living there, they said they enjoyed the meals provided and spoke positively about the care provided to them by staff. Procedures were in place to protect people and to ensure their financial interests were well managed on their behalf. There were also procedures to seek the views of people using the service and their relatives. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full assessment of people’s needs is carried out prior to their admission to ensure the home can meet their needs. EVIDENCE: The manager and deputy manager provide support and advice to people considering moving to the home and their relatives. This will include meeting with the social worker supporting the person to move and other health professionals. This ensures information about a person’s need for care is known and received by the home prior to an admission. The home uses a standard pre- admission form to gather further information about people’s needs. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 9 The forms used were informative and comprehensive in terms of information gathered about the person being referred. The assessment process and consultation with people and/ or their relatives ensures the home receives appropriate information about people’s needs and assists in developing care plan programmes. People are offered the opportunity to visit the home prior to admission, to assist them in making decision about where they move. Contracts seen recorded the fees at the time of the person’s admission and not current charges. It is recommended that all contracts are updated when charges are increased. People moving to the home are provided with a welcome pack which contains a copy of the homes Statement of Purpose and Service Users Guide and provides them with information about the home and Anchor Trust. Four completed comment cards were received from people living in the home. Each person completing the form said they had received information about the home and the care and support offered by staff. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health and personal care needs are set out in care plans to reflect the assessed level of support people need. EVIDENCE: A revised care plan system had been introduced in May 2007. Each person had a plan of support detailing his or her health and personal care needs. The plan of support is reviewed on a monthly basis by staff. During discussions with senior staff, and support workers and examination of records, there was ample evidence of the support offered to people in relation to personal, health and clinical care needs. People continue to be supported by the local Primary Care Trust and a consultant in older people’s medicine, who visits the home on a regular basis to review and advise on the continuing care and medication for people. A report of the visit is provided to the home and held on the person’s record and the consultant will liaise with the person’s general practitioner. This specialist Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 11 service is unique to the home and offers people additional health care checks and monitoring of their medication. The service user’s care plan is divided into eight different sections covering information such as personal life history, care needs assessment, medication, and review process. Some forms in the care plans were not dated at the time they were drawn up; this information should be recorded to assist in monitoring the plan and review of care. Risks are identified and incorporated into people’s care plans. The risk assessment identified the action to be taken to minimise risk to the person and protected people. Four people were being supported with a pressure sore. Procedures were in place to review pressure care management on a weekly basis by the nurse in charge of each unit. However, records for turning programmes relating to management of pressure care required improving as the required frequency of turning was not always recorded. It was also found that one person required turning at 2 hour intervals but had been turned at 3.5 and 4 hour intervals which could compromise their plan of care. Interaction between staff when supporting people on personal care and social care was generally positive, friendly and professional. However one person who was seated in a wheelchair was seen to be pulled backwards and appeared anxious. Training must be provided to staff on the appropriate way of assisting people to move. Some hoist slings were found placed on disposable aprons to be used by staff; this practice may compromise infection control procedures. It is also recommended that there are individual hoist slings for each person. Medication procedures are the responsibility of the qualified nurse on each floor. Medication is stored in a secure area. On a tour of the building the medication trolley for the ground floor was located in one of the bathrooms secured to the wall. The manager was advised to have it moved to the treatment room, as this area is not appropriate in terms of access and appropriate temperature storage arrangements. The maintenance person addressed this on the day of the inspection. Controlled drugs were checked against records and found to be in order, audited and monitored by staff. All other medication in the medication trolleys was appropriately stored and medication record sheets were well maintained. Records for turning programmes relating to management of pressure care required improving as the required frequency of turning was not always recorded. It was also found that one person required turning at 2 hour Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 12 intervals but had been turned at 3.5 and 4 hour intervals which could compromise their plan of care. One relative also commented that their relative was not always assisted to get up in the morning and have their breakfast at their preferred time. This required monitoring to ensure staffing levels were appropriate to meeting people’s needs. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily living arrangements respect people’s personal, social, cultural, dietary and religious expectations and preferences. EVIDENCE: Social and leisure interests for people continue to be organised and developed by an activities organiser assigned to the home. A group of people were involved in activities in the morning making their own Christmas cards and a home baking activity was held in the afternoon. The activity organiser has built up a range of activity programmes and material to support the varying interests and preferences of people. The large lounge on the ground floor is the main area where activities are held. Smaller lounges are located on each floor where people can pursue personal interests. People were also very complimentary about the meal and menu plans on offer and all said they enjoyed their food. Some relatives did however comment on their perceived absence of fresh produce such as vegetables at meal times. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 14 Ample provisions were available to offer people choices at meal times. People can access their rooms throughout the day when they want and can also receive visitors in their rooms. There are no restrictions on visiting times. Call points are located in bedrooms and in lounges; a new call system had recently been installed and was responded to promptly by staff. People living in the home said they got up when they wished to and could go to bed with the support of staff when they chose to. The home also uses student nurses and volunteers to support people on social care arrangements. A range of activities and events are held to raise funds to benefit lifestyle of people. The grounds offer people secure well maintained areas to access, weather permitting. The location of the home does mean people are a distance from local shops, however staff said people can access gift shops and cafés in the grounds of the Hospital. Ministers from local churches visit the home to support people who wish to maintain their religious observances. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to listen to people’s views about the service they receive and this protected them from abuse. EVIDENCE: Systems are in place to listen to people’s views about the care they receive and address any concerns about their care. The procedure is made available to people living in the home and their representatives and is available in the home and in the home’s Statement of Purpose and Service User’s guide. The complaint procedure is set out in three stages. It is recommended that this is reviewed to inform people that they can access the procedure at whatever level they choose. It is advised that a register is maintained of all complaints received by the home, to contain information on the complaint, investigation and outcome. Three people using the comment cards said they knew who to speak to and who to contact if they had a complaint. One relative commented, “I’ve not had cause to make a complaint”. During discussions with relatives they said they were confident to discuss any issues of concern with staff and senior managers. One resident did however comment, “nobody listens”. Staff are advised to ensure all people living in the home are regularly consulted on an Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 16 individual basis to allow them the opportunity to speak about any concern they may wish to raise. In the period since the last inspection three complaints had been received and investigated through the home’s internal procedure. The Commission in the same period had received no complaints about the home. Staff are provided with training in adult protection procedures and a copy of Manchester Local Authority procedures was available in the home. During discussion with staff they demonstrated a good understanding of adult protection procedures and what to do if they were to be informed of or witness any form of abusive practice. Procedures in the home, at the time of the inspection, were clear to ensure people were protected from abuse or harm. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, well maintained and homely environment, which meets their needs. EVIDENCE: The design and lay out of the home is appropriate to meeting the needs of people living there and is kept well maintained, clean and tidy. On going maintenance of the home is overseen by a fulltime maintenance person who conducts health and safety checks and tests on systems in the home. Lounge and dining areas were suitably furnished and offered people one large area and a number of smaller lounges on each level. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 18 Bedrooms are suitably furnished and some provide an en-suite facility. Since the previous inspection the locks on bedroom doors had been changed to ensure they could be opened in an emergency. The wardrobes for two rooms were located on the corridor as there was no room in the person’s bedroom because of the positioning of the bed or required use of a hoist and other equipment in the room. The wardrobes may compromise fire precaution procedures. Advice must be sought from fire safety officers, in relation to this current arrangement. In addition, the files of residents were located in a trolley on the corridor. This arrangement may compromise privacy and confidentiality of information contained in individuals care plans. The linen trolley is also located on corridors when not used. There was an evident lack of appropriate storage facilities for such equipment in the home. Appropriate procedures were in place in relation to infection control procedures, through provision of sluicing areas, a well maintained, clean and very tidy laundry area with appropriate washing cycles, use of paper towels, plastic gloves and aprons and hand washing solutions. However, as previously stated in the Health and Personal Care section, a review of the use of hoist slings is required. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and selection procedures protect residents and ensure a competent staff team is employed to meet the needs of people. EVIDENCE: There were no vacancies within the staff team. The rotas demonstrated that 10 staff are deployed in the morning and 8 staff throughout the afternoon and evening. There are five staff on duty throughout the night hours, with on call arrangements for staff to contact senior staff for advice and support. A qualified nurse member of staff is responsible for each unit along with a team of care staff. Although the information relating to staffing indicated appropriate levels were maintained, some residents using the comment cards said “its just sometimes the care staff seem very busy” another person commented “there isn’t enough of them” and one relative commented “the home needs to have more staff”. A staff member also commented that there might be shortfall when staff do not come into work. Staffing levels should therefore be regularly monitored to ensure people’s needs are being met. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 20 The manager or deputy undertakes recruitment and selection procedures. The files of staff contained the required information to evidence staff had completed application forms and appropriate reference checks and Criminal Record Bureau checks had been carried out in respect of staff employed. Checks are completed by the Recruitment officer at the organisation’s head office. An e-mail confirming checks and clearances is received by the home and held on files. Each member of staff had a training programme and senior staff had developed plans for one to one supervision for staff. A selection of staff files was examined and contained the required information relating to the person’s appointment, checks, induction and development plan. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management and administration procedures ensure the home is run in the best interest of people. EVIDENCE: The manager is appropriately experienced and holds the necessary qualifications to manage the home. The manager is supported by a deputy manager. Certificates relating to the service and maintenance of equipment were examined and found to be up to date. This included insurance liability cover. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 22 Safe procedures were in place to manage people’s allowances and money where it was managed by the home. These records are regularly audited through internal procedures and by the person conducting monthly visits to the home. There is a stable and established staff team and relatives and people living there spoke positively about the staff team and the care they received. Recruitment and selection procedures ensure that appropriate staff are recruited and they receive training to enable them to undertake their role. Care plans are regularly reviewed internally by staff to ensure the care and support provided meets the person’s needs. Procedures for health care support are well established and also regularly reviewed by professionals and qualified staff at the home. The home is well maintained and accessible to wheelchair users with a range of aids and adaptations to meet the needs of people living there. The last recorded fire drill was held on the 09/10/07; all staff sign the register to confirm their attendance. Health and safety procedures, checks and tests carried out protected people. There is a quality assurance system in place to seek the views of residents, their relatives and health and social care professionals. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 2 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP10 Regulation 18 Requirement Training must be provided to staff on the appropriate way to assist people to move to ensure their dignity is respected The assessed needs of people in relation to pressure area care must be accurately recorded and followed by staff to ensure residents receive the correct care. Advice must be taken from the Fire Service regarding the storage of wardrobes and trolleys on corridors to ensure the safety of residents. Timescale for action 22/01/08 2. OP7 13 22/01/08 3 OP24 23 22/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP5 Good Practice Recommendations The content of contracts should be reviewed to ensure information is accurate and up to date. DS0000021658.V351286.R01.S.doc Version 5.2 Page 25 Southwold Nursing Home 2 3 4 OP6 OP18 OP22 All records should record the date at the time they are drawn up, to assist in monitoring and review of the care plan. Plans of care and staffing arrangements required monitoring in relation to supporting people to rise in the morning. It is advised that a register is maintained of all complaints received by the home, to contain information on the complaint, investigation and outcome. Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Southwold Nursing Home DS0000021658.V351286.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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